The Colorado House of Representatives has approved legislation that would restrict stop-loss insurance sold to small employers.
Continue reading Colorado Passes Stop Loss Insurance Restrictions
Day: April 23, 2013
New Website Will Disclose Health Industry Payments To Physicians
By Ankita Rao
April 23rd, 2013, 5:58 AM
For the first time, the government will make information about financial relationships between doctors, teaching hospitals and drug manufacturers publicly available.
To comply with a provision in the Affordable Care Act, drug and device manufacturers, along with group purchasing organizations, will have to disclose all of their payments and other compensation to physicians and teaching hospitals. Those who don’t comply could be fined.
Continue reading New Website Will Disclose Health Industry Payments To Physicians
Cost Plus Methodologies: Achieving True Cost Containment
DISCOUNT VERSUS COST PLUS:
From a financial perspective, the discount model employed by PPO’s is ineffective because a discount based on an inflated price does not provide effective cost containment. It is not anchored to the real cost of care. Rather, this outdated approach encourages gaming of the system as providers seize the opportunity to raise their prices disproportionately to their true costs in order to increase their “discount.”
Continue reading Cost Plus Methodologies: Achieving True Cost Containment